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Distal Lenticulostriate Artery Aneurysm Presenting With Spontaneous Intracerebral and Intraventricular Hemorrhage: A Case Report and a Review of the Literature / 대한뇌혈관외과학회지
Korean Journal of Cerebrovascular Surgery ; : 129-136, 2011.
Artigo em Inglês | WPRIM | ID: wpr-113505
ABSTRACT
The authors report here on a rare case of aneurysm involving the distal lenticulostriate artery (LSA) in a 66-year-old man who presented with intracerebral hemorrhage (ICH) in the right basal ganglia and also intraventricular hemorrhage (IVH). Three-dimensional computed tomography angiography (3D-CTA) and conventional cerebral angiography showed a 4 mm, round-shaped aneurysm in the right distal LSA and this was combined with moyamoya-like disease. We performed proximal clipping of the aneurysm using a microsurgical technique and we evacuated the hematoma. After the operation, there was recurrent bleeding around the operation site and hydrocephalus gradually developed, and we implanted a ventriculo-peritoneal (V-P) shunt. The patient did well after the final shunt surgery and rehabilitation. Presently, he has no motor weakness or significant neurologic deficit, but mild cognitive dysfunction remains. When spontaneous ICH occurs in an unusual site, a thorough investigation is important to rule out a structural vascular abnormality.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Artérias / Gânglios da Base / Angiografia Cerebral / Angiografia / Hemorragia Cerebral / Hematoma / Hemorragia / Hidrocefalia / Aneurisma / Manifestações Neurológicas Limite: Idoso / Humanos Idioma: Inglês Revista: Korean Journal of Cerebrovascular Surgery Ano de publicação: 2011 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Artérias / Gânglios da Base / Angiografia Cerebral / Angiografia / Hemorragia Cerebral / Hematoma / Hemorragia / Hidrocefalia / Aneurisma / Manifestações Neurológicas Limite: Idoso / Humanos Idioma: Inglês Revista: Korean Journal of Cerebrovascular Surgery Ano de publicação: 2011 Tipo de documento: Artigo